IRENE DABOIN DOMINGUEZ PH.D.
NPI 1649829417
Psychologist - Clinical in Atlanta, GA

Q: What is Irene Daboin Dominguez's NPI number?

The NPI number for Irene Daboin Dominguez is 1649829417. It was assigned to this individual provider in the NPPES registry on September 5, 2019. The provider is also known as Irene Daboin Ph.D..

Q: What is Irene Daboin Dominguez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Irene Daboin Dominguez enrolled in Medicare?

No. Irene Daboin Dominguez has opted out of Medicare through October 29, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since September 05, 2019Opted out of Medicare · through Oct 29, 2026

1409 N HIGHLAND AVE NE STE J, ATLANTA, GA 30306(770) 765-2151 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Irene Daboin Dominguez Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRENE DABOIN DOMINGUEZ PH.D. (NPI 1649829417) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (PSY004248) and active in the NPI registry since September 2019. She has opted out of Medicare through October 29, 2026.

NPPES Registry Identity

NPI1649829417

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameIRENE DABOIN DOMINGUEZCredential: PH.D.

Location Address1409 N HIGHLAND AVE NE STE JAtlanta, GA 30306-3300

Mailing Address1409 N Highland Ave Ne Ste JAtlanta, GA 30306-3300

Phone(770) 765-2151

Sole ProprietorNo

Enumeration DateSeptember 5, 2019

✔ NPI 1649829417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY004248

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1409 N HIGHLAND AVE NE STE J, Atlanta, GA 30306

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Other Names 1

Other Name (5)Irene Daboin Ph.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Irene Daboin Dominguez Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 29, 2024 through October 29, 2026.

Opt-Out Effective DateOctober 29, 2024

Opt-Out In Effect ThroughOctober 29, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIA DEL CARMEN MORA PSY.D.

Psychologist (Clinical)

1409 N HIGHLAND AVE NE STE J
ATLANTA, GA 30306

Fulton County (847) 571-1367

EDWARDS PSYCHOLOGICAL ASSOCIATES

Psychologist

1409 N HIGHLAND AVE NE STE J
ATLANTA, GA 30306

Fulton County (404) 550-5879

DAILY DBT LLP

Psychologist (Clinical)

1409 N HIGHLAND AVE NE STE J
ATLANTA, GA 30306

Fulton County (404) 550-5879

DR. LAUREN MOFFITT EDWARDS PH.D.

Psychologist

1409 N HIGHLAND AVE NE STE J
ATLANTA, GA 30306

Fulton County (404) 550-5879

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irene Daboin Dominguez's NPI number?

The NPI number for Irene Daboin Dominguez is 1649829417. It was assigned to this individual provider in the NPPES registry on September 5, 2019. The provider is also known as Irene Daboin Ph.D..

Where is Irene Daboin Dominguez located?

Irene Daboin Dominguez practices at 1409 N Highland Ave NE Ste J, Atlanta, GA 30306. The listed phone number is (770) 765-2151.

What is Irene Daboin Dominguez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Irene Daboin Dominguez enrolled in Medicare?

No. Irene Daboin Dominguez has opted out of Medicare through October 29, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Irene Daboin Dominguez was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.